| NPI | 1295939577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IA 00290) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 00763) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2010-03-08 |